GAVIN TYLER TANIS

LEWISTON, ME
NPI1205660263
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ME  AT970)
Enumeration Date2024-08-30
Last Update Date2024-08-30
Business Address
GAVIN TYLER TANIS MS, LAT, ATC
141 RUSSELL ST
LEWISTON, ME 04240-6024
Phone number: 207-786-6255
Mailing Address
GAVIN TYLER TANIS MS, LAT, ATC
157 CENTRAL AVE
LEWISTON, ME 04240-5303
Phone number: 207-852-3444
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